Skip to main content
Home » Lifestyle Index

Lifestyle Index

  • This survey is meant to help your doctor understand what you’re experiencing on a regular basis — whether it’s caused by your eyes, posture, stress, etc. Your responses will help make sure you receive the best care possible.
  • Headaches

  • Stiffness / pain in neck / shoulders

  • Discomfort with Computer Use

  • Tired Eyes

  • Dry Eye Sensation

  • Light Sensitivity

  • Dizziness

  • Additional Notes

Call Our Offices